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Art Consent Form

Consent to use patient artwork and photos
Authorization to use patient-generated artwork, including written material in public communications: By submitting, I authorize Children's to:
Children’s Hospital of Wisconsin may not condition treatment on whether this consent form is submitted. This authorization is valid until the patient/child becomes 18 years of age. For patients 18 years old or older, this authorization will continue to be valid until notice of termination from the patient/guardian is received. Authorization may be terminated at any time by contacting or calling the Marketing and Communication Department at (414) 266-5420.